SAUDI BOARD RESIDENCY TRAINING PROGRAM PSYCHIATRY. Final Written Examination 2019

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1 SAUDI BOARD RESIDENCY TRAINING PROGRAM PSYCHIATRY Final Written Examination 2019 Objectives 1. Determine the trainee has sufficient competency related to the required specialty. 2. Determine the eligibility for entering the final clinical examination. General Provisions 1. The final written examination of Saudi board certificates /Diplomas/ Fellowships will be held once each year. 2. The final written examination may not be repeated. 3. Examination dates shall be provided by the Specialty Examination Committee in accordance with the approved annual schedule submitted by the Executive Assessment Administration. 4. The candidate would remain eligible for final written examination for a period not longer than three years after completion of training provided that he/she presents evidence of continuing clinical practice. 5. If the candidate did not pass within the three years, an additional attempt may be granted upon the approval of the Scientific Council, provided evidence of continuing clinical practice. 6. The candidate who failed to pass the final written examination including the additional attempt, has to repeat the final year of training, after which he/she shall be allowed to sit the final written examination twice given the approval of the Scientific Council. 7. After exhausting all the above attempts (maximum 6 attempts) the candidate will not be permitted to sit for the final written examination. Page 1

2 Examination Format: 1. A Saudi board final specialty written examination shall consist of two papers each with SBA MCQs. Ten unscored items can be added for pretesting purposes. 2. If any other assessment format is used, the CAC must agree to its implementation (for example Short Answer Question (SAQ) or Modified Essay Question (MEQ) formats). Passing Score: 1. The passing score is 70%. However, if the percentage of candidates passing the examination before final approval is less than 70%, the passing score must be lowered by one mark at a time aiming at achieving 70% passing rate or 65% passing score whichever comes first. 2. Alternatively, to set a passing score using a standard setting method, the specialty examination committee must obtain approval of the process and passing score from the Executive Director for Assessment one month prior to exam administration. 3. To set the passing score a standard setting method that is supported by published scientific evidence can be used, for which the Angoff method is recommended. The process to arrive to the passing score requires prior review and approval. 4. If standard setting is used the above passing score regulation does not apply and a detailed report of the process and the recommended pass score should be forwarded to the Executive Director of Assessment at least two weeks before the examination date. 5. Under no circumstances can the passing score be reduced below 65%. Suggested References: A) General: 1. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan and Sadock's synopsis of psychiatry: Behavioral science/clinical psychiatry. 2. Cowen, P., Harrison, P. J., Burns, T., & Gelder, M. G. (2012). Shorter Oxford textbook of psychiatry. 3. Gelder, M., Andreasen, N. C., Lopez-Ibor, J. J., & Geddes, J. R. 2 nd edition (2009). New Oxford textbook of psychiatry. Oxford: Oxford University Press. 4. American Psychiatric Association. 5 th edition (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Arlington, Va: American Psychiatric Association. Page 2

3 B) Psychotherapy: 1. Gabbard, G. O., & American Psychiatric Publishing. 1 st edition (2008). Textbook of psychotherapeutic treatments. Washington, D.C: APPI. 2. Bender, S., & Messner, E. (2003). Becoming a therapist: What do I say, and why?. New York: The Guilford Press. 3. Wright, J. H., Basco, M. R., & Thase, M. E. (2005). Learning cognitivebehavioral therapy: An illustrated guide. Washington, D.C: American Psychiatric. C) Psychopharmacology: 1. Procyshyn, R. M. (2017). Clinical handbook of psychotropic drugs. Boston, MA: Hogrefe. 2. Stahl, S. M., & Muntner, N. (2017). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications. Cambridge: Cambridge University Press. D) Subspecialties: 1. Robinson, R. G., & Amos, J. J. (2010). Psychosomatic medicine: An introduction to consultation-liaison psychiatry. Cambridge [etc.: Cambridge University Press. 2. Dulcan, M. K., Lake, M. B., Ballard, R., Jha, P., Sadhu, J., & American Psychiatric Association Publishing,. (2018). Concise guide to child and adolescent psychiatry. 3. Galanter, M., & Kleber, H. D. (2008). The American Psychiatric Publishing textbook of substance abuse treatment. Washington, DC: American Psychiatric Pub. 1. Professionalism and Ethics, Handbook for Residents, Practical guide, Prof. James Ware, Dr. Abdulaziz Fahad Alkaabba, Dr. Ghaiath MA Hussein, Prof. Omar Hasan Kasule, SCFHS, Latest Edition. 2. Essentials of Patient Safety, SCHS, Latest Edition. Note: This list is intended for use as a study aid only. SCFHS does not intend the list to imply endorsement of these specific references, nor are the exam questions necessarily taken solely from these sources. Page 3

4 Blueprint Outlines: No. Sections Percentage (%) 1 Basic Sciences 1 / Essential Topics in Psychiatry Basic Psychopharmacology/Physical Therapy (ECT and Others)/ Psychotherapy/ Psychosocial Interventions 3 Schizophrenia Spectrum & Other Psychotic Disorders 5 4 Anxiety Disorders/Obsessive Compulsive & related Disorders/Trauma & Stress related Disorders 5 Depressive Disorders/Bipolar & related Disorders Substance-related & Addictive Disorders/ Personality Disorders/ Forensic Psychiatry 13 Psychosomatic Medicine (Consultation-Liaison Psychiatry) Child and Adolescent Psychiatry 9 9 Emergency Psychiatry 3 10 Patient Evaluation/ Descriptive Psychopathology 5 11 Public Psychiatry/ Geriatric Psychiatry 4 12 Others 4 10 Research, Ethics and Professionalism and Patient Safety 5 18 Total 100% 5 1 Basic Sciences: includes Neurosciences, Basic Psychology, Psychosocial Sciences etc. 2 Essential Topics in Psychiatry: includes Genetics, Epidemiology, Classification in Psychiatry, Ethics in Mental Health 3 Psychosomatic Medicine (Consultation-Liaison Psychiatry): includes Neurocognitive Disorders, Somatic Symptoms & Related Disorders etc. 4 Others: includes Dissociative Disorder, Impulse-Control and Conduct Disorders, Additional Conditions that may be a focus of clinical attention, Relational Problems, Sexual Dysfunctions, Eating Disorders, Sleep-Wake Disorders, Cross Cultural Psychiatry, Disorders specific to Women etc. Note: Blueprint distributions of the examination may differ up to +/-3% in each category Page 4

5 Example Questions EXAMPLE OF K2 QUESTIONS Question 1 A 18-year-old man with periods of excessive sleepiness that last for 3 weeks then subside with normal sleep. His mother reported overeating, selfisolation, irritability, and frequent masturbation during these periods. Examination revealed that he is morbidly obese. Which of the following is the most likely diagnosis? A. Narcolepsy B. Primary Hypersomnia C. Kleine-Levin syndrome D. Delayed Sleep Phase Disorder EXAMPLE OF K1 Question 2 Which of the following best describes the lack of additional content of speech due to mental illness? A. Alogia B. Abulia C. Avolition D. Asociality Page 5

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